NPI | 1619906294 |
---|---|
Former Name | STEFANIE LORRAINE HAMBY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH10052) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: OH 3921) |
111N00000X Chiropractor (Licence: IL 038008963) | |
Enumeration Date | 2006-07-03 |
Last Update Date | 2022-07-19 |